Oral condition of women with gestational diabetes mellitus admitted in a school hospital in southern Brazil
GESTATIONAL DIABETES MELLITUS AND ORAL CONDITION OF PREGNANT WOMEN
DOI:
https://doi.org/10.5335/rfo.v26i1.12430Keywords:
Dentistry. Pregnancy. Gestational diabetes mellitus. Caries. Hospital., Gestacional diabetes mellitus, Caries, HospitalAbstract
Aim: to assess the oral condition of women with
Gestacional Diabetes Mellitus (GDM) admitted in
a School Hospital (HE)/UFPel. Methods: medical
and dental records, from September 2019 to March 2020, were evaluated in this hospital-based retrospective cross-sectional study. Socioeconomic
and demographic data were collected from medical records, while oral condition and habits were
obtained from the dental records. Statistical analysis was performed with Stata 11.0 software using
Fisher’s exact test and Poisson regression. Results:
the medical records of 83 pregnant women were
evaluated, of which 37 (44.6%) had GDM. The
presence of GDM was associated with pregnant
women of older age (62.2%) and most in the third
trimester of pregnancy. Most of them had an income of up to two minimum wages, were single, had
children and underwent prenatal care. Regarding
the oral evaluation, only the presence of dental
calculus and gingival inflammation was statistically associated with the presence of GDM (p =
0.030 and 0.014 respectively). The self-perception
of the smile was considered bad to 40.5% and
many of them had lost teeth due to caries (64.9%).
Conclusions: the prevalence of GDM was high in
hospitalized pregnant women, being higher in older women. Presence of dental calculus and gingival inflammation were strongly associated with
the presence of GDM, while oral habits and the
presence of caries were not associated. Further research, with complete periodontal examinations is
necessary to verify the periodontal conditions of
these women.
Keywords: dentistry; pregnancy; gestational diabetes mellitus; caries; hospital.
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References
21(6):533-51.
2. Steffens JB, Marcantonio RAC. Classificação das doenças e
condições periodontais e peri-implantares 2018: guia prático
e pontos-chave 2018. Rev Odontol UNESP 2018; 47(4):189-97.
3. Gürsoy M, Pajukanta R, Sorsa T, Kononen E. Clinical changes in periodontium during pregnancy and post-partum. J
Clinical Periodontol 2008; 35(7):576-83.
4. Diretrizes da Sociedade Brasileira de Diabetes (2017-2018);
Diabetes mellitus gestacional: diagnóstico, tratamento e
acompanhamento pós- gestação. 2018; v. 91.
5. Mendes SF. Diabetes Mellitus Gestacional: elaboração, adequação cultural e validação de material educativo para o autocuidado de gestantes. Belo Horizonte, MG: 2019.
6. Sociedade Brasileira de Diabetes. Diretrizes da sociedade
brasileira de diabetes. Grupo Gen-AC 2020; Farmacêutica.
7. The HAPO Study Cooperative Research Group. Hyperglycemia abda adverse pregnancy outcomes. N Engl J Med 2008.
8. Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H.
The International Caries Detection and Assessment System
(ICDAS): an integrated system for measuring dental caries.
Community Dent Oral Epidemiol 2007; 35(3):170-8.
9. Nyvad B, Machiulskiene V, Baelum V. Reliability of a new
caries diagnostic system differentiating between active and
inactive caries lesions. Caries Research 1999; 33(4):252-60.
10. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975; 25(4):229-35.
11. Ainamo J. Development of the World Health Organization
(WHO) community periodontal index of treatment needs
(CPITN). Int dent J 1982; 32(3):281-91.
12. Murakami S, Mealey BL, Mariotti A, Chapple IL. Dental
plaque–induced gingival conditions. J of clinical periodontol
2018; 45:S17-S27.
13. Golbidi S, Laher I. Potential Mechanisms of Exercise in Gestational Diabetes. J of Nutrition and Metabolism 2013.
14. Wendland EMM, Torloni MR, Falavigna M, Trujillo J, Dode
MA, Campos MA, et al. Gestational diabetes and pregnancy
outcomes - a sistematic review of the World Health Organization (WHO) and the International Association of Diabetes
in Pregnancy Study Groups (IADPSG) diagnostic criteria.
BMC Pregnancy and Childbirth 2012; 12(1):1-13.
15. Costa RC, Campos MOC, Marques LARV, Neto EMR, Franco MC, Diógenes ÉSG. Diabetes gestacional assistida: perfil
e conhecimento das gestantes. Saúde (Santa Maria) 2015;
41(1):131-240.
16. Maruichi MD, Amadei G, Abel MNC. Diabetes Mellitus Gestacional. Arq Med Hosp Fac Cienc Med 2012; 57(3):124-8.
17. Landim CAP, Milomens KMP, Diógenes MAR. Déficits de
autocuidado em clientes com diabetes mellitus gestacional:
uma contribuição para a enfermagem. Rev Gaúcha Enferm
Porto Alegre (RS) 2008; 29(3):374-81.
18. Coutinho T, Coutinho CM, Duarte AMBR, Zimmermmann
JB, Coutinho LM. Diabetes gestacional: como tratar? Femina 2010; 38(10):517-25.
19. Moreschi C, Rempel C, Siqueira D, Backes DS, Pissaia LF,
Grave MTQ. Estratégias Saúde da Família: perfil e qualidade de vida de pessoas com diabetes. Rev Brasileira de Enfermagem 2018; 71(6):2899-906.
20. Scherma AP, Dias ACG, Raslan S. Aspectos nutricionais relacionados à prevenção de cáries na infância. Clínica e Pesquisa em Odontol-UNITAU 2011; 3(1): 37-44.
21. Novais SMA, Batalha RP, Grinfeld S, Fortes TM, Pereira
MAS. Relação doença-cárie-açúcar: prevalência em crianças.
Pesq Bras de Odontopedi Clín Integrada 2004; 4(3):199-203.
22. Maia FR, Silva QRM, Carvalho QD. Proposta de um protocolo para o atendimento odontológico do paciente diabético na
atenção básica. Rev Esp para a Saúde 2005; 7(2):6-29.
23. Poletto VC, Stona P, Weber JBB, Fritsche AMG. Atendimento odontológico em gestantes: uma revisão da literatura. Stomatos 2008; 14(26):64-75.
24. Rigo L, Dalazen J, Garbin RR. Impact of dental orientation
given to mothers during pregnancy on oral health of their
children. Einstein (São Paulo) 2016; 14(2):219-25
25. Caneppele TMF, Yamamoto EC, Souza ACV, Salera MC,
Araújo MAM. Conhecimento dos cirurgiões-dentistas sobre o
atendimento de pacientes especiais: hipertensos, diabéticos e
gestantes. J of Biodentistry and Biomaterials 2011; 1:31-41.
26. Vasconcelos RG, Vasconcelos MG, Mafra, RP, Júnior LCA,
Queiroz LMG, Barboza CAG. Atendimento odontológico a
pacientes gestantes: como proceder com segurança. Rev Bras
de Odontol 2012; 69(1):120
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